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Indoleamine 2,3-dioxygenase, Tregs and Cancer

[ Vol. 18 , Issue. 15 ]

Author(s):

D. H. Munn   Pages 2240 - 2246 ( 7 )

Abstract:


The IDO pathway is implicated in a number of settings which lead to acquired peripheral tolerance. One such setting may be the functional tolerance displayed by tumor-bearing hosts toward tumor-associated antigens. Foxp3+ Tregs are now recognized as a major contributor to tumor-induced immune suppression and functional tolerance. Emerging evidence links the IDO pathway with Treg biology at several points. The first is the ability of IDO-expressing DCs to drive the differentiation of naive CD4+ T cells toward a Foxp3+ (inducible Treg) phenotype. The second link is the ability of IDO-expressing DCs to directly activate mature, pre-existing Tregs for markedly enhanced suppression of target cells. And the third link is the ability of IDO to prevent the inflammation-induced conversion (“reprogramming”) of Tregs into pro-inflammatory T-helper-like cells in vivo. Taken together, these findings suggest that IDO may represent an important regulatory checkpoint influencing Treg activity: both by stabilizing and augmenting the suppressive phenotype, and by preventing Treg reprogramming into non-suppressive helper-like cells.

Keywords:

Regulatory T cells,Foxp3,IDO,dendritic cells,tumor immunology,peripheral tolerance,tumor-induced immune suppression,Treg biology,CD4+ T cells,inducible Treg

Affiliation:

Immunotherapy Program, Room CN-4141, Medical College of Georgia, Augusta, GA 30912 USA.



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